=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659964450
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MR. PATRICK T BROWND
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2021
-----------------------------------------------------
Last Update Date | 02/12/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7929 GREENLAKE DN A #21
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98103
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-617-6167
-----------------------------------------------------
Fax | 206-260-3643
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7929 GREENLAKE DN N #21
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98103
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-617-6167
-----------------------------------------------------
Fax | 206-260-3643
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------